CAROLYN S BURNS Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004349

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

Last Name

BURNS

Business Name

CAROLYN S BURNS

Original Issue Date

06/21/2005

Effective Date

11/01/2005

Expiration Date

10/31/2007

City

FORT BRANCH

State

Zip

47648

County

INDIANA

Ever Disciplined

LastModifiedDate

12/05/2007